I lost my last baby in late pregnancy. Will it happen again?

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I am so sorry to hear of your loss. After going through the trauma of losing your baby, it's only natural to be full of trepidation about getting pregnant again.

Perhaps you'll find it reassuring to know that, if you conceive again, you will be under the care of a consultant gynaecologist. From the outset, your gynaecologist will be focused on helping you through this pregnancy. She'll discuss with you a plan of care. This plan will take into account the reason why, if known, you had your last miscarriage.

You may have extra scans and appointments with your gynaecologist. You may also see another specialist, such as a genetics consultant. A genetics consultant will look into whether you and your partner carry any conditions that could be passed on to your baby.

After your previous loss, your gynaecologist at the time would have arranged to see you. However, it's only natural for you not to remember the details of this meeting. So the first visit with your consultant gynaecologist in this pregnancy may be a good time to go over what happened before. If your loss was caused by a medical condition, it may be possible to control the condition. This will increase your chances of having a successful pregnancy.

Occasionally, physical problems, such as uterine abnormalities, cause late miscarriage. Unfortunately, these can be quite difficult to treat. Another cause of late miscarriage is a weakness in the the neck of your uterus (womb). This is called cervical weakness. It can be managed by putting a stitch in your cervix. However, there are pros and cons to this procedure. Your consultant should explain these to you beforehand, to help you decide whether or not to go ahead.

Coping with a late miscarriage is very hard. The decision to try for another baby can be difficult after what you've been through. Some women have an overwhelming urge to be pregnant again as soon as possible. Others prefer to wait. In fact, it would be better to wait until you and your partner feel physically and emotionally ready to try again.

In your next pregnancy, you may feel the need for extra support from your midwife or doctor to reassure you. You may not want to return to the same hospital and the same medical team who gave you care last time. If so, you can always ask your GP to refer you to another consultant or another hospital.

Some hospitals offer extra support to parents who have had a previous loss. You can also talk to other parents in a similar situation in BabyCentre community.

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